Cortesi N, Gibertini G, Vaccari G, Malagoli M, Piccagliani L
Minerva Chir. 1977 Nov 15;32(21):1343-8.
Bilateral hysteroadnexectomy and rectosigmoid resection were successfully employed in a case of acute intestinal occlusion due to endometriotic rectosigmoid stenosis in a 36-yr-old woman. The endometriotic character of the stenosis was only made clear histopathologically. The clinical features of intestinal endometriosis are examined. Its lack of pathognomonic symptoms makes diagnosis difficult and may result in confusion with cancer, even intraoperatively. Ex tempore histological examination is thus fundamental in clinching diagnosis and hence the extent to which intestinal resection is required.
对于一名36岁因子宫内膜异位症导致乙状结肠狭窄而急性肠梗阻的女性患者,成功实施了双侧子宫附件切除术和乙状结肠切除术。狭窄的子宫内膜异位特征仅通过组织病理学得以明确。文中对肠道子宫内膜异位症的临床特征进行了研究。其缺乏特异性症状使得诊断困难,甚至在术中也可能与癌症混淆。因此,术中组织学检查对于确诊以及确定所需肠道切除范围至关重要。